Characteristics of seriously emotionally disturbed youth with and without substance abuse in intensive case management
Characteristics of seriously emotionally disturbed youth with and without substance abuse in intensive case management
复制标题
密集案件管理中严重情绪困扰青少年（有或没有滥用药物）的特征
DOI：
--
复制
发表时间：
1992
期刊：
影响因子：
--
通讯作者：
T. McNulty
中科院分区：
文献类型：
--
作者：
M. Evans;N. Dollard;T. McNulty
儿童服务机构特别关注有情绪困扰及滥用药物问题的青少年。在纽约州儿童和青年强化病例管理方案（CYICM）中，约有22%的青年发现了药物滥用问题。我们比较了在CYICM注册的滥用药物的青少年和不滥用药物的青少年。有药物滥用问题的青少年不同于非滥用青少年。虐待群体最有可能是被解放的未成年人，没有入学，不太可能是少数群体的成员，而更有可能拥有私人医疗保险。他们还证明了与非滥用队列不同的症状群，滥用者倾向于显示自杀症状和行为以及性行为。施虐者也更有可能被送往私立精神病医院，并在急诊室有危机接触。然而，与非滥用者类似，滥用者在州立医院住院的天数明显减少，并且在CYICM注册后，这些医院的入院人数减少。
Youth with emotional disturbance who have substance abuse problems are of particular concern to child-serving agencies. Approximately 22% of the youth served in New York State's Intensive Case Management Program for Children and Youth (CYICM) have identified substance abuse problems. We compared youths enrolled in CYICM who abuse substances with those who do not abuse substances. Adolescents with substance abuse problems differed from non-abusing adolescents. The abusing cohort was most likely to be emancipated minors, not enrolled in school, less likely to be members of a minority group, and more likely to have private health care coverage. They also evidenced a different constellation of symptoms than the non-abusing cohort, with abusers tending to display suicidal symptoms and behaviors and sexual acting out. Abusers were also more likely to have been admitted to private psychiatric hospitals and to have had crisis contacts in emergency rooms. Similar to non-abusers, however, abusers spent significantly fewer days as inpatients in state hospitals, and had fewer admissions to these hospitals following their enrollment in CYICM.